Prospective study of adolescent drug use among community samples of ADHD and non-ADHD participants
Prospective study of adolescent drug use among community samples of ADHD and non-ADHD participants
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DOI：
10.1097/01.chi.0000219831.16226.f8
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发表时间：
2006-07-01
影响因子：
13.3
通讯作者：
Lee, Susanne
中科院分区：
文献类型：
--
作者：
August, Gerald J.;Winters, Ken C.;Lee, Susanne
目的：描述相对较大的、社区确定的患有注意力缺陷/多动障碍 (ADHD) 儿童样本的青春期晚期吸毒结果，这些儿童从儿童期到青春期后期进行了纵向评估。方法：比较仅 ADHD 组（n = 27）、ADHD 外化组（主要是对立违抗障碍）（n = 82）和正常对照组（n = 91）之间的青少年药物使用结果。结果：与其他两组相比，ADHD 外化组的药物使用结果（药物使用频率和物质使用障碍）明显较差，而仅 ADHD 组的结果与社区对照组相当。结论：没有共存外化障碍的 ADHD 与药物滥用风险增加无关。患有共病外化障碍（主要是对立违抗障碍）的 ADHD 与吸毒风险升高相关，特别是涉及大麻和烟草。
Objective: To describe the late adolescent drug use outcomes from a relatively large, community-identified sample of children with attention-deficit/hyperactivity disorder (ADHD) who have been assessed longitudinally from childhood through late adolescence. Method: Adolescent drug use outcomes were compared between ADHD-only (n = 27), ADHD-externalizing (mostly oppositional defiant disorder) (n = 82), and normal control (n = 91) groups. Results: The ADHD-externalizing group revealed significantly worse drug use outcomes (drug use frequency and substance use disorders) compared to the other two groups, and the ADHD-only group showed outcomes comparable to the community control group. Conclusions: ADHD without a comorbid externalizing disorder is not associated with an increased risk of drug abuse. ADHD with a comorbid externalizing disorder, primarily oppositional defiant disorder, is associated with an elevated risk of drug use, particularly with respect to marijuana and tobacco involvement.